Phlexglobal Training Course Registration Form

Please complete and submit this booking form. Alternatively you can contact the Phlexglobal Training Department by e-mailing training@phlexglobal.com, by telephoning us on 01494 720 420, or by sending a fax to 01494 720 430

Details of Delegate
Title:
First Name:
Last Name:
Daytime Telephone No.
Mobile Telephone No.
E-Mail address
Course details
Course Title:

Course Date:
(dd/mm/yyyy)

Course Fee:
Payment Details
Please note that we are unable to confirm a place on a training course before receipt of payment.
Cheque being sent:
(Payable to Phlexglobal Ltd)
Cheque number:

Amount:
(Please ensure cheque amount is for the course fee plus VAT)

Invoice to Company:
(If you wish Phlexglobal to invoice your employer you must obtain authorisation to attend the course and a Purchase Order Number before placing your booking)

Invoice for Attention of:
Company Name:
Company address:

Purchase Order Number:

I have read and understood the terms and conditions of booking